Melatonin has been suggested as a new natural pain killer in inflammatory pain and during surgical procedures. We designed this randomized double-blind controlled study to evaluate the analgesic efficacy and also optimal preemptive dose of melatonin in patients undergoing cesarean section under spinal anesthesia.One hundred twenty patients scheduled for cesarean section under spinal anesthesia ...

Rare auditory symptoms such as tinnitus after spinal anaesthesia have been observed (1-4). It can be accompanied by headache (1, 4) and can become chronic and affect a patient’s quality of life. In this case, we aimed to present our clinical experience regarding the relief of symptoms by an epidural blood patch in a patient who developed headache and bilateral tinnitus following spinal anaesthe...

Subdural hematoma is a serious but rare complication of spinal anesthesia. A 70-year-old woman patient underwent elective total knee replacement under spinal anesthesia. At 4 days postoperatively, the patient complained of headache and vomiting. Brain computed tomography revealed an acute-on-chronic subdural hematoma with midline shift. The patient recovered completely after surgical decompress...

Post-Spinal Headache: A New Possible Pathophysiology Ali Shahriari, and Mahdi Sheikh Department of Anesthesiology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran Corresponding author: Ali Shahriari, Department of Anesthesiology, Roozbeh Hospital, Tehran University of Medical ...

INTRODUCTION Spinal subarachnoid hemorrhage has many causes including trauma, vascular malformations, aneurysms, spinal cord tumors, coagulation abnormalities, use of anticoagulants, systemic lupus erythematosus, or Behçet's disease. We report on a rare case of a spontaneous spinal subarachnoid hemorrhage after severe coughing of unknown origin. To the best of our knowledge, this is the first r...

Spinal anaesthesia is associated with certain complications such as severe hypotension, post-spinal headache, meningitis, audiovisual disturbances and some time transient or permanent neurological damage. Now-a-days spinal anaesthesia is in demand again due to cost effectiveness, rapidity and predictability of effects and decreased rate of complications. A case of a young woman who received spi...

Pneumocephalus is a commonly encountered entity in patients of head trauma and post-op cases neurosurgery, however it rarely observed after spinal anaesthesia.
 It presents orthostatic hypotension associated with severe headache, nausea vomiting. We report case pneumocephalus following anaesthesia administered for open hernia repair.
 The proposed mechanisms secondary to tapping are t...

Cervicogenic headache is a syndrome characterized by chronic hemicranial pain that is referred to the head from either bony structures or soft tissues of the neck. The trigeminocervical nucleus is a region of the upper cervical spinal cord where sensory nerve fibers in the descending tract of the trigeminal nerve (trigeminal nucleus caudalis) are believed to interact with sensory fibers from th...

OBJECTIVE To investigate the effect of dexamethasone in reducing the incidence of headache. METHODS This randomized controlled trial was carried out in 160 cesarean patients with physical conditions-1 and emergency-1 at 22-Bahman Hospital, Iran between March 2010 and March 2011. Patients were randomly divided into sample and control groups. The women were studied for incidence of headache in ...